Provider Demographics
NPI:1083696983
Name:HOFF, JEFFREY CAMERON (DO)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:CAMERON
Last Name:HOFF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13014 12TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98146-3110
Mailing Address - Country:US
Mailing Address - Phone:206-244-9232
Mailing Address - Fax:
Practice Address - Street 1:13014 12TH AVE SW
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98146-3110
Practice Address - Country:US
Practice Address - Phone:206-244-0867
Practice Address - Fax:206-244-3151
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOP00001072207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1011022Medicaid
WA92063OtherLABOR & INDUSTRIES
WAHO4280OtherREGENCE
WA0102297Medicare ID - Type Unspecified
WA1011022Medicaid